Tellez, Henry
Tellez, Henry is an individual health care provider with primary practice located at 295 Olmsted Blvd Mellon Bldg. Ste. 12, Pinehurst NC 28374-9131. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tellez, Henry can be contacted via phone (910) 235-0535.Contact Information
Primary practice address
295 Olmsted Blvd Mellon Bldg. Ste. 12
Pinehurst NC 28374-9131
Phone: (910) 235-0535
Fax: (910) 235-0546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 9500740 | North Carolina |
Profile Details
| NPI number | 1861560401 |
|---|---|
| LBN Legal business name | Tellez, Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Dec 21st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861560401 | NPPES |
| North Carolina | Other | 130022118 | RAIL ROAD MEDICARE |
| North Carolina | Other | 82328 | RAIL ROAD MEDICARE |
| North Carolina | MEDICAID | 8982328 | RAIL ROAD MEDICARE |
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